13. B.Harika

  This is an online E- log book to discuss our patient's de- identified health data shared informed after taking his/ her guardian's signed informed consent . Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E- log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome." Date of admission:- February o4, 2022 Chief complaint:- A 36 year old male patient came to OPD with chief complaints of pain in the abdomen since 45 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 45 days  back and then  he developed pain in the abdomen  (epigastric region) . It is associated with nausea and loss of appetite. One month back patient visited to local hospital with similar complaints of pain in abdomen,  so he was give

  30 year old female with ENL February 04, 2022 Chief complaint :-  30 year old female came to casuality with c/o painful lesions along the body since 1 year HOPI :-  Patient was apparently asymptomatic 1year back then she observed pain initially over skin of left leg following which she noticed a small nodular lesion initially small with reddish discoloration but progressively grown and felt localized rise in temperature which over days healed with hyperpigmented rashes. Intially she used ayurvedic medicine for few months even then the lesions didnot subside completely. 6 months back she doveloped similar non itchy lesions over both hands extending proximally and healed with hyperpigmented rash. Pain-Nodules-burning sensation-heals with hyperpigmentation. PAST HISTORY-Since 8 months she doveloped similar lesions on face and from 1 and half to 2 months she doveloped similar lesions on ears etc currently not healed. N/K/C/O DM, HTN, TB, ASTHAMA PERSONAL HISTORY- Mixed diet appetite -nor